Guia de Implementação do Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM) da RNDS
1.0.0 - STU1 Brazil flag

!!Guia de Implementação do Registro Eletrônico de Dispensação ou Fornecimento de Medicamento (REDFM) da RNDS - Compilação de desenvolvimento local (v1.0.0) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas

Resource Profile: RNDSMedicamentoDispensado - Detailed Descriptions

Page standards status: Informative Maturity Level: 1

Definitions for the RNDSMedicamentoDispensado resource profile.

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Medication
Definição

This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

CurtoDefinition of a Medication
Controlo0..*
É modificadorfalse
Resumofalse
Invariantesdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Medication.implicitRules
Definição

Um ou mais códigos que servem para identificar o tipo de recurso


A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

CurtoUm conjunto de regras sob as quais este conteúdo foi criadoA set of rules under which this content was created
Comentários

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Controlo0..1
Tipouri
É modificadortrue porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Medication.extension
Definição

Conteúdo adicional definido por implementações


May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

CurtoExtensões adicionaisAdditional content defined by implementations
Comentários

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Controlo0..1*
TipoExtension
É modificadorfalse
Resumofalse
Nomes alternativosextensions, user content
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Medication.modifierExtension
Definição

Extensões que não podem ser ignoradas


May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CurtoExtensõesExtensions that cannot be ignored
Comentários

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Controlo0..*
TipoExtension
É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumofalse
Requisitos

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Nomes alternativosextensions, user content
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
8. Medication.code
Definição

Nome e terminologia do medicamento fabricado.


A code (or set of codes) that specify this medication, or a textual description if no code is available. Usage note: This could be a standard medication code such as a code from RxNorm, SNOMED CT, IDMP etc. It could also be a national or local formulary code, optionally with translations to other code systems.

CurtoNome do medicamentoCodes that identify this medication
Comentários

Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

Controlo10..1
VínculoOs códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Terminologia dos medicamentoshttp://hl7.org/fhir/ValueSet/medication-codes
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento)
TipoCodeableConcept
É modificadorfalse
Deve apoiartrue
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Medication.code.coding
Definição

A reference to a code defined by a terminology system.

CurtoCode defined by a terminology system
Comentários

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Controlo10..*
TipoCoding
É modificadorfalse
Resumotrue
Requisitos

Allows for alternative encodings within a code system, and translations to other code systems.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Medication.code.coding.system
Definição

The identification of the code system that defines the meaning of the symbol in the code.

CurtoIdentity of the terminology system
Comentários

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Controlo10..1
Tipouri
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

Need to be unambiguous about the source of the definition of the symbol.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Medication.code.coding.code
Definição

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

CurtoSymbol in syntax defined by the system
Controlo10..1
Tipocode
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Requisitos

Need to refer to a particular code in the system.

Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
16. Medication.status
Definição

ativo| inativo| entrado com erro


A code to indicate if the medication is in active use.

Curtoativo| inativo| entrado com erroactive | inactive | entered-in-error
Comentários

This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

Controlo0..1
VínculoOs códigos DEVERÃO ser retirados de Medication Status Codeshttp://hl7.org/fhir/ValueSet/medication-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

A coded concept defining if the medication is in active use.

Tipocode
É modificadortrue porque This element changes the interpretation of all descriptive attributes.
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Deve apoiartrue
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Medication.manufacturer
Definição

Fabricante do item


Describes the details of the manufacturer of the medication product. This is not intended to represent the distributor of a medication product.

CurtoOrganização FabricanteManufacturer of the item
Controlo10..1
TipoReference(BR Core Organization, Organization)
É modificadorfalse
Deve apoiartrue
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Medication.form
Definição

Unidade de medida do medicamento prescrito (ex.: comprimido, cápsula, frasco, caixa etc.).


Describes the form of the item. Powder; tablets; capsule.

CurtoUnidade de medida do medicamentopowder | tablets | capsule +
Comentários

When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

Controlo10..1
VínculoOs códigos DEVERÃO ser retirados de Para exemplos de códigos, ver Unidade de Medida de Medicamentohttp://hl7.org/fhir/ValueSet/medication-form-codes
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeMedidaMedicamento)
TipoCodeableConcept
É modificadorfalse
Deve apoiartrue
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Medication.batch
Definição

Informação sobre lote e validade da medicação.


Information that only applies to packages (not products).

CurtoDetalhes sobre a medicação.Details about packaged medications
Controlo10..1
TipoBackboneElement
É modificadorfalse
Deve apoiartrue
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Medication.batch.modifierExtension
Definição

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

CurtoExtensions that cannot be ignored even if unrecognized
Comentários

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Controlo0..*
TipoExtension
É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Resumotrue
Requisitos

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Nomes alternativosextensions, user content, modifiers
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
26. Medication.batch.lotNumber
Definição

RN14: Se medicamento serializado/Datamatrix - Elemento lot do XML para grupo IUM.


The assigned lot number of a batch of the specified product.

CurtoLote de medicamento.Identifier assigned to batch
Controlo10..1
Tipostring
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
28. Medication.batch.expirationDate
Definição

Quando o lote vai expirar


When this specific batch of product will expire.

CurtoData de validade do medicamento.When batch will expire
Controlo10..1
TipodateTime
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Medication
2. Medication.manufacturer
Controlo1..?
Deve apoiartrue
4. Medication.batch
Controlo1..?
6. Medication.batch.lotNumber
Controlo1..?
8. Medication.batch.expirationDate
Controlo1..?

Instruções sobre como interpretar o conteúdo desta tabela podem ser encontradashere

0. Medication
Definição

This resource is primarily used for the identification and definition of a medication for the purposes of prescribing, dispensing, and administering a medication as well as for making statements about medication use.

CurtoDefinition of a Medication
Controlo0..*
É modificadorfalse
Resumofalse
Invariantesdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource (contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. Medication.id
Definição

ID exclusivo para referência entre elementos

CurtoReferenciamento entre elemento
Comentários

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Controlo0..1
Tipoid
É modificadorfalse
Resumotrue
4. Medication.meta
Definição

Metadados adicionais sobre o recurso

CurtoMetadados sobre o recurso
Controlo0..1
TipoMeta
É modificadorfalse
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
6. Medication.implicitRules
Definição

Um ou mais códigos que servem para identificar o tipo de recurso

CurtoUm conjunto de regras sob as quais este conteúdo foi criado
Comentários

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Controlo0..1
Tipouri
É modificadortrue porque This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Medication.language
Definição

A linguagem humana natural do recurso

CurtoLinguagem do recurso
Comentários

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Controlo0..1
VínculoOs códigos DEVERÃO ser retirados de CommonLanguages
(preferred to http://hl7.org/fhir/ValueSet/languages)

A human language.

Vínculos adicionaisObjetivo
AllLanguagesVínculo máximo
Tipocode
É modificadorfalse
Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Medication.text
Definição

Um texto narrativo resumindo as informações do recurso

CurtoResumo de texto para o recurso, para interpretação humana
Comentários

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Controlo0..1
TipoNarrative
É modificadorfalse
Resumofalse
Nomes alternativosnarrative, html, xhtml, display
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Medication.contained
Definição

Recursos contidos no recurso

CurtoRecursos contidos
Comentários

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Controlo0..*
TipoResource
É modificadorfalse
Resumofalse
Nomes alternativosinline resources, anonymous resources, contained resources
14. Medication.extension
Definição

Conteúdo adicional definido por implementações

CurtoExtensões adicionais
Controlo0..1
TipoExtension
É modificadorfalse
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
16. Medication.modifierExtension
Definição

Extensões que não podem ser ignoradas

CurtoExtensões
Controlo0..*
TipoExtension
É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Resumofalse
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
18. Medication.identifier
Definição

Identificador de negócios para este medicamento

CurtoIdentificador de negócios para este medicamento
Comentários

The serial number could be included as an identifier.

NotaTrata-se de um identificador de empresa e não de um identificador de recurso (ver discussão)
Controlo0..*
TipoIdentifier
É modificadorfalse
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Medication.code
Definição

Nome e terminologia do medicamento fabricado.

CurtoNome do medicamento
Comentários

Depending on the context of use, the code that was actually selected by the user (prescriber, dispenser, etc.) will have the coding.userSelected set to true. As described in the coding datatype: "A coding may be marked as a "userSelected" if a user selected the particular coded value in a user interface (e.g. the user selects an item in a pick-list). If a user selected coding exists, it is the preferred choice for performing translations etc. Other codes can only be literal translations to alternative code systems, or codes at a lower level of granularity (e.g. a generic code for a vendor-specific primary one).

Controlo1..1
VínculoOs códigos DEVERÃO ser retirados de Terminologia dos medicamentos
(required to http://www.saude.gov.br/fhir/r4/ValueSet/BRTerminologiaMedicamento)
TipoCodeableConcept
É modificadorfalse
Deve apoiartrue
Resumotrue
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Medication.code.id
Definição

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

CurtoUnique id for inter-element referencing
Controlo0..1
Tipostring
É modificadorfalse
Formato XMLNo formato XML, esta propriedade é representada como um atributo.
Resumofalse
24. Medication.code.extension
Definição

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

CurtoAdditional content defined by implementations
Comentários

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Controlo0..*
TipoExtension
É modificadorfalse
Resumofalse
Nomes alternativosextensions, user content
Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
SlicingEste elemento introduz um conjunto de fatias em Medication.code.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
  • value @ url
  • 26. Medication.code.coding
    Definição

    A reference to a code defined by a terminology system.

    CurtoCode defined by a terminology system
    Comentários

    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

    Controlo1..*
    TipoCoding
    É modificadorfalse
    Resumotrue
    Requisitos

    Allows for alternative encodings within a code system, and translations to other code systems.

    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    28. Medication.code.coding.id
    Definição

    Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    CurtoUnique id for inter-element referencing
    Controlo0..1
    Tipostring
    É modificadorfalse
    Formato XMLNo formato XML, esta propriedade é representada como um atributo.
    Resumofalse
    30. Medication.code.coding.extension
    Definição

    May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    CurtoAdditional content defined by implementations
    Comentários

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Controlo0..*
    TipoExtension
    É modificadorfalse
    Resumofalse
    Nomes alternativosextensions, user content
    Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
    SlicingEste elemento introduz um conjunto de fatias em Medication.code.coding.extension. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
    • value @ url
    • 32. Medication.code.coding.system
      Definição

      The identification of the code system that defines the meaning of the symbol in the code.

      CurtoIdentity of the terminology system
      Comentários

      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

      Controlo1..1
      Tipouri
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Requisitos

      Need to be unambiguous about the source of the definition of the symbol.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      34. Medication.code.coding.version
      Definição

      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

      CurtoVersion of the system - if relevant
      Comentários

      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

      NotaEste é um ID de versão comercial, não um ID de versão de recurso (ver discussão)
      Controlo0..1
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      36. Medication.code.coding.code
      Definição

      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

      CurtoSymbol in syntax defined by the system
      Controlo1..1
      Tipocode
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Requisitos

      Need to refer to a particular code in the system.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      38. Medication.code.coding.display
      Definição

      A representation of the meaning of the code in the system, following the rules of the system.

      CurtoRepresentation defined by the system
      Controlo0..1
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Requisitos

      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      40. Medication.code.coding.userSelected
      Definição

      Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

      CurtoIf this coding was chosen directly by the user
      Comentários

      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

      Controlo0..1
      Tipoboolean
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Requisitos

      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      42. Medication.code.text
      Definição

      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

      CurtoPlain text representation of the concept
      Comentários

      Very often the text is the same as a displayName of one of the codings.

      Controlo0..1
      Tipostring
      É modificadorfalse
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Resumotrue
      Requisitos

      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      44. Medication.status
      Definição

      ativo| inativo| entrado com erro

      Curtoativo| inativo| entrado com erro
      Comentários

      This status is intended to identify if the medication in a local system is in active use within a drug database or inventory. For example, a pharmacy system may create a new drug file record for a compounded product "ABC Hospital Special Cream" with an active status. At some point in the future, it may be determined that the drug record was created with an error and the status is changed to "entered in error". This status is not intended to specify if a medication is part of a particular formulary. It is possible that the drug record may be referenced by multiple formularies or catalogues and each of those entries would have a separate status.

      Controlo0..1
      VínculoOs códigos DEVERÃO ser retirados de Medication Status Codes
      (required to http://hl7.org/fhir/ValueSet/medication-status|4.0.1)

      A coded concept defining if the medication is in active use.

      Tipocode
      É modificadortrue porque This element changes the interpretation of all descriptive attributes.
      Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
      Deve apoiartrue
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      46. Medication.manufacturer
      Definição

      Fabricante do item

      CurtoOrganização Fabricante
      Controlo1..1
      TipoReference(BR Core Organization)
      É modificadorfalse
      Deve apoiartrue
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      48. Medication.form
      Definição

      Unidade de medida do medicamento prescrito (ex.: comprimido, cápsula, frasco, caixa etc.).

      CurtoUnidade de medida do medicamento
      Comentários

      When Medication is referenced from MedicationRequest, this is the ordered form. When Medication is referenced within MedicationDispense, this is the dispensed form. When Medication is referenced within MedicationAdministration, this is administered form.

      Controlo1..1
      VínculoOs códigos DEVERÃO ser retirados de Unidade de Medida de Medicamento
      (required to http://www.saude.gov.br/fhir/r4/ValueSet/BRUnidadeMedidaMedicamento)
      TipoCodeableConcept
      É modificadorfalse
      Deve apoiartrue
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      50. Medication.amount
      Definição

      Quantidade de medicamento na embalagem

      CurtoQuantidade de medicamento
      Controlo0..1
      TipoRatio
      É modificadorfalse
      Resumotrue
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      52. Medication.ingredient
      Definição

      Ingrediente ativo ou inativo

      CurtoIngrediente ativo ou inativo
      Comentários

      The ingredients need not be a complete list. If an ingredient is not specified, this does not indicate whether an ingredient is present or absent. If an ingredient is specified it does not mean that all ingredients are specified. It is possible to specify both inactive and active ingredients.

      Controlo0..*
      TipoBackboneElement
      É modificadorfalse
      Resumofalse
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      54. Medication.ingredient.id
      Definição

      Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      CurtoUnique id for inter-element referencing
      Controlo0..1
      Tipostring
      É modificadorfalse
      Formato XMLNo formato XML, esta propriedade é representada como um atributo.
      Resumofalse
      56. Medication.ingredient.extension
      Definição

      May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      CurtoAdditional content defined by implementations
      Comentários

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Controlo0..*
      TipoExtension
      É modificadorfalse
      Resumofalse
      Nomes alternativosextensions, user content
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      58. Medication.ingredient.modifierExtension
      Definição

      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

      CurtoExtensions that cannot be ignored even if unrecognized
      Comentários

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Controlo0..*
      TipoExtension
      É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
      Resumotrue
      Requisitos

      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

      Nomes alternativosextensions, user content, modifiers
      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      60. Medication.ingredient.item[x]
      Definição

      O ingrediente ou conteúdo real Vinculante: Substâncias ativas de medicamentos - IPS (preferencial): Substâncias medicamentosas SNOMED CT

      CurtoIngrediente
      Controlo1..1
      TipoEscolha de: CodeableConcept, Reference(Substance, Medication)
      [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
      É modificadorfalse
      Resumofalse
      Requisitos

      The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

      Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      SlicingEste elemento introduz um conjunto de fatias em Medication.ingredient.item[x]. As fatias sãoNão ordenado e Opene pode ser diferenciado utilizando os seguintes discriminadores:
      • type @ $this
      • 62. Medication.ingredient.item[x]:itemReference
        Nome da fatiaitemReference
        Definição

        The actual ingredient - either a substance (simple ingredient) or another medication of a medication.

        CurtoThe actual ingredient or content
        Controlo1..1
        TipoReference(Substance, BR Core Medication)
        [x] NotaVerEscolha de tipos de dadospara mais informações sobre como utilizar [x]
        É modificadorfalse
        Resumofalse
        Requisitos

        The ingredient may reference a substance (for example, amoxicillin) or another medication (for example in the case of a compounded product, Glaxal Base).

        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        64. Medication.ingredient.isActive
        Definição

        Indicador de ingrediente ativo

        CurtoIngrediente ativo
        Controlo0..1
        Tipoboolean
        É modificadorfalse
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Resumofalse
        Requisitos

        True indicates that the ingredient affects the therapeutic action of the drug (i.e. active). False indicates that the ingredient does not affect the therapeutic action of the drug (i.e. inactive).

        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        66. Medication.ingredient.strength
        Definição

        Uma proporção de dois valores de Quantidade - um numerador e um denominador

        CurtoUma proporção de dois valores de Quantidade - um numerador e um denominador
        Controlo0..1
        TipoRatio
        É modificadorfalse
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        68. Medication.batch
        Definição

        Informação sobre lote e validade da medicação.

        CurtoDetalhes sobre a medicação.
        Controlo1..1
        TipoBackboneElement
        É modificadorfalse
        Deve apoiartrue
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        70. Medication.batch.id
        Definição

        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

        CurtoUnique id for inter-element referencing
        Controlo0..1
        Tipostring
        É modificadorfalse
        Formato XMLNo formato XML, esta propriedade é representada como um atributo.
        Resumofalse
        72. Medication.batch.extension
        Definição

        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

        CurtoAdditional content defined by implementations
        Comentários

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Controlo0..*
        TipoExtension
        É modificadorfalse
        Resumofalse
        Nomes alternativosextensions, user content
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        74. Medication.batch.modifierExtension
        Definição

        May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        CurtoExtensions that cannot be ignored even if unrecognized
        Comentários

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Controlo0..*
        TipoExtension
        É modificadortrue porque Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
        Resumotrue
        Requisitos

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Nomes alternativosextensions, user content, modifiers
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        76. Medication.batch.lotNumber
        Definição

        RN14: Se medicamento serializado/Datamatrix - Elemento lot do XML para grupo IUM.

        CurtoLote de medicamento.
        Controlo1..1
        Tipostring
        É modificadorfalse
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        78. Medication.batch.expirationDate
        Definição

        Quando o lote vai expirar

        CurtoData de validade do medicamento.
        Controlo1..1
        TipodateTime
        É modificadorfalse
        Valor primitivoEste elemento primitivo pode estar presente, ausente ou ser substituído por uma extensão
        Resumofalse
        Invariantesele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))